Sentara RMH Laboratory Schools

Application for Admission

Sentara RMH Medical Center does not discriminate on the grounds of race, color, religion, national origin, sex, age, marital status, sexual orientation, family responsibilities or political affiliation.

The Sentara RMH School of Histotechnology is certified to operate by the State Council of Higher Education for Virginia.

The Sentara RMH School of Medical Laboratory Science is certified to operate by the State Council of Higher Education for Virginia.

The Sentara RMH School of Medical Laboratory Science - Online is certified to operate by the State Council of Higher Education for Virginia.

Present or School Address (if different from home)

Address Line 1

Address Line 2

City

State

Zip code

Present or School Telephone Number

Please list other names that you have used which may appear on requested documents such as transcripts

How did you hear about the school?

Education

What is your present Grade Point Average?

THE BACCALAURATE DEGREE MUST BE FROM A REGIONALLY ACCREDITED COLLEGE/UNIVERSITY.

NOTE: We will prepare you for the lab portion of the ASCP exam or any certification exam. We cannot change the non-lab (experience and/or undergraduate accreditation) requirement for any certification exam. We cannot guarantee that you will be able to sit for any exam.

Provide the names and addresses of the schools you have attended, the dates of attendance, and any degree(s) received.

References

Work Experience

In the space below, list your work experience with the most recent employment first.

1. Date of employment

Name of Employer

First Name

Last Name

Employer's Address

Address Line 1

Address Line 2

City

State

Zip code

Job Title

Reason for leaving

2. Date of employment

Name of Employer

First Name

Last Name

Employer's Address

Address Line 1

Address Line 2

City

State

Zip code

Job Title

Reason for leaving

Interview

Applicants without United States citizenship only. What is your current Visa status?

Applicant Questions

Have you ever been convicted of a crime other than a minor traffic offense (including Military Service)?

YesNo

Signature

Type your first and last name above as your digital signature.